Chirwere chinowanzo asi chakaoma chinoratidzwa nekuregererwa
Polycystic ovary syndrome (PCOS) chirwere chinowanzogadzirisa endocrine chinogona kukonzera kuwedzera kwemahomoni evanhu (androgens) kuvakadzi, zvichiita kuti zvive zvisina kufanira kana kusina nguva yekuenda kumwedzi, nguva inorema, mazino, marwadzo epilvic, kuwedzera kwepiso uye bvudzi, uye yerima, ganda rakanaka. Inogona kukanganisa vakawanda seyese pavakadzi vashanu pakati pezera remakore 18 ne45 uye rinoramba riri rimwe rezvikonzero zvinokonzerwa nekushaya vana.
Pasinei nokuva chirwere chakadai, PCOS haina kunzwisiswa . Iko kuchiri kukanganiswa pamusoro pekuti PCOS inowanikwa sei, kunyanya pakati pevasikana vechidiki. Chikamu chekuvhiringidzika kunotanga nechinetso chekuongororwa pachako.
Munguva yakapfuura, maiva nemapoka maviri akasiyana-siyana ekuenzanisa: imwe yakabudiswa neNational Institutes of Health (NIH) muDragville, Maryland uye imwe yakasunungurwa nedare renyika yose muRotterdam iro rakawedzera pamusoro peNIH mazano.
Kusiyana kwakange kusina zvishoma asi kunotyisa. Mutungamiri pakati peiyi maiva nekubatanidzwa kwema polycystic ovaries seimwe yemitatu yekuongorora yePCOS. Panhizha re Rotterdam raiisanganisira; iyo NIH haina.
Yakanga iri muna December 2012 iyo NIH yakatsigira zvakatemwa neRotterdam uye yakarumbidza kuti inogamuchirwe nevese vehutano.
PCOS Diagnosis Kushandisa Rotterdam Criteria
Pasi pemutsanangudzo weRotterdam, mukadzi anofanira kusangana zvinenge zviviri zvevatatu kuti zvive zvakanaka kuti aonekwe nePCOs Izvi zvinosanganisira zvisina kufanira uye / kana kusina ovulation, mazinga e-androgen akakwirira, uye kuvapo kwe polycystic ovaries.
Nzira yemitemo ye Rotterdam inogona kupfupiswa nenzira inotevera:
- Hazvina kufanana uye / kana kusina ovulation kunokonzerwa nekusawirirana kwehomoni dzepabonde, kusanganisira yakakwirira ye testosterone uye luteinizing hormone. Somugumisiro, vamwe vakadzi vane PCOS vachava nenguva dzakasiyana siyana mwedzi mumwe nomumwe, mwedzi mishomanana, kana kwete zvachose. Nguva dzenguva dzinowanzova dzakaoma uye dzinofambidzana nemashizha makuru. Kunyanya, kana mukadzi ane masere kana kuti mashomanana ekuenda kumwedzi kwegore, anosangana nemirairo.
- High androgen mazinga anoonekwa sechinhu chinokosha pakuongorora PCOS kunyange zvazvo vamwe vakadzi vane chirwere chisina kuwedzera uyerogen. Sezvo zvakadaro, kana serological (ropa) kana uchapupu hwekliniki huchagamuchirwa. Ropa rekuyera nepamusoro uye androgen levels (total and free testosterone, DHEA-sulfate) yakakwana kugutsa zvinotarisirwa. Mukusina kweizvi, kurasikirwa kwebvudzi , acne, uye kupfurikidza kwepakati bvudzi bvudzi kukura kunosangana nekliniki yekutongwa kwePCOS.
- Polycystic ovaries rinoreva kuvepo kwe12 kana kupfuura zvinyorwa zviduku muvharovha imwe neimwe. Iyo follicles, dzimwe nguva inonzi ma cysts, yakafanana neketani yemaparera. Sezvo nea androgen mazinga, vakadzi vane PCOs havakwanisi kuva ne-cysts. A transvaginal ultrasound ndiyo chinhu chikuru chekuongorora. Izvozvo zvinokonzerwa nokusaenzana kwehomoni, kwete chikonzero chacho.
Pakupedzisira, kuitira kuti apiwe tsanangudzo yakagadziriswa, chiremba achada kuongorora kana pane zvimwe zvikonzero zvekusawirirana. Pakupedzisira, PCOS ndiyo mamiriro ekuregererwa. Izvi zvinoreva kuti chiremba aizoda kutonga zvinhu zvakadai se congenital adrenal hyperplasia (CAH) , inokonzera high testosterone, kana kuti yakakwirira yeprolactin, iyo inogona kukanganisa kuvhara.
Nemhaka yekuti zvinotarisirwa zvino zvinogona kusanganisira vakadzi vane kana kuti vasina polycystic ovari, mazano akakurudzirwa kushandura zita rePCOS uye anobvisa zvachose chero chipi zvacho chinonzi "cyst."
> Kwakabva:
> National Institutes of Health. " Polycystic Ovary Syndrome (PCOS) : Final Panel Report." Uchapupu-hwakagadzirwa neMethodology Workshop paPolcystic Ovary Syndrome; Rockville, Maryland; December 3-5, 2012.